JOSE L GUEVARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

GUEVARA

Business Name

JOSE L GUEVARA

Original Issue Date

08/06/2002

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020